| NPI | 1033229323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RALPH A MASSEY Medical Director 310-434-2495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA S051566) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2015-08-05 |